Privatized Medicare Advantage plans overbill the U.S. federal government by up to $140 billion per year as they make patients ...
This study examines the impact of geographically limited disasters on health care quality performance scores of Medicare Advantage contracts, finding limited impact on performance scores.
On January 23, 2025, the U.S. Court of Appeals for the Fourth Circuit affirmed a federal district court’s ruling against the Pharmaceutical ...
A White House executive order threatened to pull federal funding from hospitals that provide gender-affirming care for trans ...
This article summarizes the provisions of the final 2026 HHS Notice of Benefit Payment Parameters related to the individual ...
On January 27, 2025, the Office of Management and Budget (OMB) issued an internal memo (Memo M-25-13) directing all federal agencies to ...
State health officials are checking New Mexico residents for possible exposure to measles, following two cases reported in ...
Sen. Ron Wyden wrote his new memoir before the re-election of Donald Trump, and at times it reads like a dispatch from a ...
Medicare is big business. It changes a little or a lot every year, and millions have strong opinions about it.
Medicare beneficiaries often pay monthly premiums, copays, annual deductibles and prescription drug costs. But what you may ...
Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.
Over the last few weeks, we’ve been fielding numerous questions regarding the Medicare Part D Prescription Drug plans that ...